Overview of CPT Code 25651:Closed treatment of distal radius fracture
CPT Code 25651 refers to the closed treatment of a distal radius fracture, which is a common injury involving the wrist. This procedure is performed without surgical incisions and aims to realign the fractured bone to promote healing.
When CPT Code 25651 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fracture due to trauma or fall.
- Fractures that are non-displaced or minimally displaced.
- Patients who are not candidates for surgical intervention.
Symptoms Indicating This Procedure
Patients may report the following symptoms:
- Severe pain in the wrist area.
- Swelling and bruising around the wrist.
- Inability to move the wrist or fingers.
- Deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Falls, especially in older adults.
- Sports injuries, particularly in contact sports.
- Osteoporosis, which weakens bones.
- Previous wrist injuries that may predispose to fractures.
Diagnostic Tests Before Procedure
To confirm the diagnosis and assess the fracture, the following tests may be performed:
- X-rays to visualize the fracture.
- CT scans for detailed imaging if necessary.
- Physical examination to assess range of motion and pain.
Procedure Description
The closed treatment procedure involves several key steps:
- Patient is positioned comfortably and the affected wrist is exposed.
- Local anesthesia may be administered to minimize discomfort.
- The physician gently manipulates the wrist to realign the fractured bone.
- Once aligned, a splint or cast is applied to immobilize the wrist.
- Post-procedure instructions are provided to the patient.
Preparation for the Procedure
Patients should follow these steps before the procedure:
- Inform the physician of any allergies or medications.
- Avoid eating or drinking for a few hours prior if sedation is planned.
- Wear loose-fitting clothing for comfort during the procedure.
Recovery and Aftercare
Post-procedure care is crucial for recovery:
- Rest the wrist and avoid using it for several weeks.
- Keep the cast or splint dry and clean.
- Follow up with the physician for regular check-ups.
- Pain management with prescribed medications as needed.
Possible Complications
While complications are rare, they can occur:
- Improper healing or malunion of the fracture.
- Infection at the site of treatment.
- Nerve or blood vessel damage.
- Stiffness or loss of motion in the wrist.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery:
- Initial follow-up within 1-2 weeks post-procedure.
- Subsequent visits every 4-6 weeks to assess healing.
- Additional imaging may be required to ensure proper alignment.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Physical therapy to improve strength and mobility.
- Bracing or splinting without manipulation for stable fractures.
- Pain management with medications and rest.
Home Care Tips
Patients can follow these tips for better recovery:
- Elevate the wrist to reduce swelling.
- Apply ice packs to alleviate pain and inflammation.
- Engage in gentle range-of-motion exercises as advised by the physician.
Patient Education & Prevention
Educating patients on prevention is key:
- Maintain bone health through diet and exercise.
- Use protective gear during sports activities.
- Take precautions to prevent falls, especially in older adults.
Billing and Coding Information
CPT Code: 25651
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on location and insurance:
- Average cost ranges from $1,500 to $3,000.
- Most insurance plans cover the procedure, but verification is recommended.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a distal radius fracture?
A distal radius fracture is a break in the radius bone near the wrist, often caused by falls.
How long does recovery take?
Recovery typically takes 6 to 8 weeks, depending on the severity of the fracture.
Will I need physical therapy?
Physical therapy may be recommended to restore strength and mobility after healing.
Can I drive after the procedure?
You should avoid driving until cleared by your physician, especially if your dominant hand is affected.
